About Paladin Managed Care Services
Paladin Managed Care Services is setting the industry standard for services that reduce claims costs while improving patient care. Our unique approach combines physician-guided care with technology-driven efficiency to achieve better results for our clients, including insurance carriers, self-insured employers, insurance pools, municipalities, and group health organizations. In fact, we are the only managed care service provider that involves physicians in every service from case management and bill review to prescription approval and telephone support.
As an industry leader, Paladin is transforming managed care services and delivering extraordinary results through:
Physician-Guided Services: Physicians are involved in all our services Medical Bill Review, Case Management, Rx Utilization Management, Physician On Call, Utilization Review, 24/7 Nurse Triage, Comprehensive Claims Analysis, and Medicare Set-Asides.
Managed Care Experience: Paladin executives have been involved in managed care most of their careers, giving them first-hand knowledge of how to improve results without increasing costs. As a result, we have built highly efficient service delivery workflows that:
- Incorporate physician oversight
- Keep costs down, while raising the bar on client service and results
- Encourage health care providers to collaborate with managed care professionals
Performance Evaluation: We hire experienced nurse and doctor case managers, then hold them to a standard of performance that generates the best possible results for our clients. In selecting physician case managers, we align physician specialties to the dominant injury profile for each state or region, and evaluate their work using proven case management principles.
Flexible Services : From utilization review to case management to Medicare set-asides, our services are designed to adapt to the requirements and preferences of each client. At the same time, we incorporate 12 years' of proven best practices to meet our overriding goal of reducing claims costs while improving patient care.
Financial Stability: As a subsidiary of SeaBright Holdings, Inc., Paladin is backed by a company known for its insurance focus and financial prudence. In addition, the complementary insurance-related specialties of SeaBright Holdings' subsidiaries help us stay ahead of market trends to better serve our clients.
utilization review ROI, fast turnarounds, and other performance results. Read more...
Insurance carrier saves 95% after Paladin's medical bill review.
Meet the executives and doctors who oversee our services.
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